The proposal of subgroups for grade V on World Federation of Neurologic Surgeons Grading for subarachnoid hemorrhage

M. Nakagawa, K. Sugiu, K. Tokunaga, C. Sakamoto, K. Fujiwara

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Aim. Some of cases suffering from subarachnoid hemorrhages (SAHs) in grade V on World Federation of Neurologic Surgeons (WFNS) grading can gain a good prognosis. The outcome of patients of SAH in grade V on WFNS grading in their institute was here investigated. Methods. Between April 2007 and July 2012, consecutive 37 patients had SAH diagnosed on CT scan and were classified in grade V on WFNS grading in Kosei General Hospital. There were seventeen male and twenty female patients. We were assigned to patients with spontaneous respiration and without oculomotor palsy (N group, N.=11), and patients with oculomotor palsy (O group, N.=26). Patients were evaluated by mRS. Results. The prognosis in N group was significantly better than in O group (P<0.001). Conclusion. Surgical treatments should be considered for SAH patients without oculomotor palsy. It is necessary to make subgroups in grade V on WFNS grading in order to decide operative indication and evaluate the treatment results of SAH in grade V.

Original languageEnglish
Pages (from-to)303-306
Number of pages4
JournalJournal of Neurosurgical Sciences
Volume57
Issue number4
Publication statusPublished - Dec 1 2013

Keywords

  • Aneurysm
  • Subarachnoid hemorrhage
  • Surgical procedures, operative

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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